[1]李 锦,叶贤瑞,黄 娜.B超引导下腹横肌平面阻滞对腹腔镜下阑尾及疝气术后患者血流动力学及切口疼痛的影响[J].医学信息,2024,37(23):42-45.[doi:10.3969/j.issn.1006-1959.2024.23.009]
　LI Jin,YE Xianrui,HUANG Na.Effect of B-ultrasound Guided Transversus Abdominis Plane Block on Hemodynamics and Incision Pain in Patients After Laparoscopic Appendectomy and Hernia Surgery[J].Journal of Medical Information,2024,37(23):42-45.[doi:10.3969/j.issn.1006-1959.2024.23.009]
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B超引导下腹横肌平面阻滞对腹腔镜下阑尾及疝气术后患者血流动力学及切口疼痛的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年23期
页码:
42-45
栏目:
论著
出版日期:
2024-12-01

文章信息/Info

Title:
Effect of B-ultrasound Guided Transversus Abdominis Plane Block on Hemodynamics and Incision Pain in Patients After Laparoscopic Appendectomy and Hernia Surgery
文章编号:
1006-1959（2024）23-0042-04
作者:
李 锦; 叶贤瑞; 黄 娜
上栗县人民医院麻醉科，江西 上栗 337009
Author(s):
LI Jin; YE Xianrui; HUANG Na
Department of Anesthesiology,Shangli County People’s Hospital,Shangli 337009,Jiangxi,China
关键词:
B超; 腹横肌平面阻滞; 腹腔镜; 阑尾; 疝气; 切口疼痛; 血流动力学
Keywords:
B-ultrasound; Transversus abdominis plane block; Laparoscopy; Appendix; Hernia; Incision pain; Hemodynamics
分类号:
R656.2
DOI:
10.3969/j.issn.1006-1959.2024.23.009
文献标志码:
A
摘要:
目的 探讨B超引导下腹横肌平面阻滞对腹腔镜下阑尾及疝气术后患者血流动力学及切口疼痛的影响。方法 选取2022年1月-2023年6月上栗县人民医院收治的60例行腹腔镜下阑尾及疝气手术的患者为研究对象，采用随机数字表法将患者分为对照组与TAP组，每组30例。对照组在气管插管麻醉下手术，术后给予静脉自控镇痛（PCIA）；TAP组以对照组为基础，在麻醉诱导后，给予B超引导下TAP阻滞。比较两组临床指标（术后首次下床时间、术后首次排气时间、住院时间、手术时间）、术中不同时间段[入室时（T0）、切皮前（T1）、切皮5 min后（T2）、切皮10 min后（T3）]血流动力学指标[平均动脉压（MAP）、心率（HR）]、切口疼痛情况[疼痛视觉模拟评分（VAS）、Ramsay镇静（RSS）评分]。结果 与对照组比较，TAP组术后首次下床时间、术后首次排气时间、住院时间更短，T1、T2、T3时MAP、HR更低，术后2、4、12 h的VAS评分、RSS评分更低（P＜0.05）；而TAP组手术时间与对照组比较，差异无统计学意义（P＞0.05）。结论 B超引导下TAP阻滞可有效维持腹腔镜下阑尾及疝气手术患者术中生命体征平稳，减轻术后疼痛、躁动程度，促进患者快速康复，镇痛效果良好。
Abstract:
Objective To investigate the effect of B-ultrasound guided transversus abdominis plane block on hemodynamics and incision pain in patients after laparoscopic appendectomy and hernia surgery.Methods Sixty patients who underwent laparoscopic appendectomy and hernia surgery in Shangli County People’s Hospital from January 2022 to June 2023 were selected as the research objects. The patients were divided into control group and TAP group by random number table method, with 30 patients in each group. The control group was operated under tracheal intubation anesthesia, and postoperative patient-controlled intravenous analgesia (PCIA) was given. Based on the control group, the TAP group was given B-ultrasound-guided TAP block after anesthesia induction. The clinical indexes (the first time of getting out of bed after operation, the first time of exhaust after operation, the time of hospitalization, the time of operation), hemodynamic indexes [mean arterial pressure (MAP), heart rate (HR)] at different time periods [when entering the operating room (T0), before skin incision (T1), 5 min after skin incision (T2), 10 min after skin incision (T3)], incision pain [Visual Analogue Scale (VAS), Ramsay sedation score (RSS)] after operation were compared between the two groups.Results Compared with the control group, the first time of getting out of bed after operation, the first time of exhaust after operation and the time of hospitalization in the TAP group were shorter, the MAP and HR at T1, T2 and T3 were lower, and the VAS score and RSS score at 2, 4 and 12 h after operation were lower (P<0.05). There was no significant difference in the operation time between the TAP group and the control group (P>0.05) .Conclusion B-ultrasound guided TAP block can effectively maintain stable vital signs during laparoscopic appendectomy and hernia surgery, reduce postoperative pain and agitation, promote rapid recovery of patients, and have good analgesic effect.

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更新日期/Last Update: 1900-01-01